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New Hampshire rates for HCPCS Q4247

AmnioText EX SHEE 1 CM X 1 CM

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,417.38 / $1,417.38 / $1,700.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,539.19 / $3,128.00 / $3,128.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$530.00 / $530.00 / $530.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,128.00 / $3,128.00 / $3,128.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,128.00 / $3,128.00 / $3,128.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$530.00 / $530.00 / $769.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,125.66 / $3,200.00 / $3,200.00
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$488.75 / $537.63 / $684.25